Miyata M, Mizunaga M, Kaneko S, Morikawa M, Yachiku S, Watabe Y
Department of Urology, Asahikawa Medical College.
Nihon Hinyokika Gakkai Zasshi. 1990 Jun;81(6):841-6. doi: 10.5980/jpnjurol1989.81.841.
Subarachnoid phenol block was applied to four traumatic spinal cord injury patients who had been suffering from urinary incontinence caused by detrusor hyperreflexia. Two were females with complete thoracic cord injury, the others were males with incomplete cervical cord injury. In all patients, detrusor hyperreflexia and urinary incontinence disappeared after 0.3-0.6 ml injection of 10% phenol glycerin. Vesicoureteral reflux observed in three ureters of two patients disappeared or improved. Two obtained sufficient bladder capacity for urine storage, while the others who had been treated by continuous urine drainage for a long time prior to the block could not obtain sufficient bladder compliance. The cause seemed to be organization of the bladder wall.
对4例因逼尿肌反射亢进导致尿失禁的创伤性脊髓损伤患者实施了蛛网膜下腔酚阻滞。其中2例为女性，胸段脊髓完全损伤，另外2例为男性，颈段脊髓不完全损伤。所有患者在注射0.3 - 0.6毫升10%酚甘油后，逼尿肌反射亢进和尿失禁消失。2例患者3条输尿管中观察到的膀胱输尿管反流消失或改善。2例患者获得了足够的膀胱储尿容量，而另外2例在阻滞前长期接受持续导尿治疗的患者未能获得足够的膀胱顺应性。原因似乎是膀胱壁的机化。
